Beeville Independent School District
Beeville Independent School District Statement of Expense Form Use this form when you return from a trip to calculate the amount the district will reimburse you for your travel. If you received a cash advance for your travel you will use this form to calculate how much of the advance you used and how much you will need. resets both pages
Employee Name
Reset Form
Reason for Travel Destination Dates of Travel Date & Time of Departure
Date & Time of Arrival
Please enter both date and time.
HOTEL
OUT OF STATE TRAVEL
PO#
Airfare
Hotel Folio (please attach)
Airport Parking
Allowable Parking
Auto Rental (non-local)
Non-reimbursable Parking
Other
Non-reimbursed Sales Tax Non-reimbursed Other Total Housing Cost OTHER EXPENSES
______________________ ______________________ Total Other
PO Used:
Total OS Travel Expenses MILEAGE
Total Mileage* Mileage Rate** Reimbursable Mileage *Use Mapquest to calculate mileage (round trip) Print and attach Mapquest mileage calculation http://www.mapquest.com/ **Beeville ISD 2012/13 Mileage Rate Effective September 1, 2010 .50 cents per mile
Total Reimbursable Travel Expenses: From Page 2
I hereby certify that all of the expenses in the above statement are recorded accurately and were legitimate and legal expenses incurred during official travel approved by the Beeville ISD Administration and in pursuit of identified district goals and objectives.
Sign
Date
BISD Statement of Expense Form, Page 2 MEALS
MM/DD
Name of Restaurant
Allowable Meal Cost Breakfast $10 Lunch $12 Dinner $14
Daily Totals: Amount over Allowable Meal Cost: Total Reimbursable Meal Cost:
Mileage Expense:
BISD does not reimburse sales tax. When entering meal cost or other expenses on this form please enter the subtotal from the receipt.
Out of State Travel Expense: Meals Expense: Other Expenses:
Total Reimbursable Travel Expenses:
Any monies due to the district please make check payable to Beeville ISD. If federal funds were used for your travel, you will need to submit all travel forms to Accounts Payable in the Business office. If you used local funds for your travel, you will need to submit all of your travel forms to your campus secretary. Please attach hotel folio, parking receipts, mileage verification from Mapquest.com, meal receipts, etc. Also, attache a copy of your certificate of attendance and any other documentation needed.
Rev. 03/26/13 BISD
Print Form
Employee Name
Reset Form
Reason for Travel Destination Dates of Travel Date & Time of Departure
Date & Time of Arrival
Please enter both date and time.
HOTEL
OUT OF STATE TRAVEL
PO#
Airfare
Hotel Folio (please attach)
Airport Parking
Allowable Parking
Auto Rental (non-local)
Non-reimbursable Parking
Other
Non-reimbursed Sales Tax Non-reimbursed Other Total Housing Cost OTHER EXPENSES
______________________ ______________________ Total Other
PO Used:
Total OS Travel Expenses MILEAGE
Total Mileage* Mileage Rate** Reimbursable Mileage *Use Mapquest to calculate mileage (round trip) Print and attach Mapquest mileage calculation http://www.mapquest.com/ **Beeville ISD 2012/13 Mileage Rate Effective September 1, 2010 .50 cents per mile
Total Reimbursable Travel Expenses: From Page 2
I hereby certify that all of the expenses in the above statement are recorded accurately and were legitimate and legal expenses incurred during official travel approved by the Beeville ISD Administration and in pursuit of identified district goals and objectives.
Sign
Date
BISD Statement of Expense Form, Page 2 MEALS
MM/DD
Name of Restaurant
Allowable Meal Cost Breakfast $10 Lunch $12 Dinner $14
Daily Totals: Amount over Allowable Meal Cost: Total Reimbursable Meal Cost:
Mileage Expense:
BISD does not reimburse sales tax. When entering meal cost or other expenses on this form please enter the subtotal from the receipt.
Out of State Travel Expense: Meals Expense: Other Expenses:
Total Reimbursable Travel Expenses:
Any monies due to the district please make check payable to Beeville ISD. If federal funds were used for your travel, you will need to submit all travel forms to Accounts Payable in the Business office. If you used local funds for your travel, you will need to submit all of your travel forms to your campus secretary. Please attach hotel folio, parking receipts, mileage verification from Mapquest.com, meal receipts, etc. Also, attache a copy of your certificate of attendance and any other documentation needed.
Rev. 03/26/13 BISD
Print Form
